﻿CREATE TABLE [dbo].[CLM_835_2110_ClaimServicePayment]
(
[IDKey] [int] NOT NULL IDENTITY(1, 1),
[Header_LX01_ProviderSummaryProviderIDAssignedNumber] [nvarchar] (6) NULL,
[Payment_CLP01_PatientControlNumber] [nvarchar] (38) NULL,
[ServicePayment_SVC01_ProductOrServiceIDQualifier] [nvarchar] (2) NULL,
[ServicePayment_SVC01_ProcedureCode] [nvarchar] (48) NULL,
[ServicePayment_SVC01_ProcedureModifier1] [nvarchar] (2) NULL,
[ServicePayment_SVC01_ProcedureModifier2] [nvarchar] (2) NULL,
[ServicePayment_SVC01_ProcedureModifier3] [nvarchar] (2) NULL,
[ServicePayment_SVC01_ProcedureModifier4] [nvarchar] (2) NULL,
[ServicePayment_SVC01_ProcedureCodeDescription] [nvarchar] (80) NULL,
[ServicePayment_SVC02_LineItemChargeAmount] [money] NULL,
[ServicePayment_SVC03_LineItemProviderPaymentAmount] [money] NULL,
[ServicePayment_SVC04_NationalUniformBillingCommitteeRevenueCode] [nvarchar] (48) NULL,
[ServicePayment_SVC05_UnitsOfServicePaidCount] [decimal] (18, 0) NULL,
[ServicePayment_SVC06_ProcedureCode] [nvarchar] (48) NULL,
[ServicePayment_SVC06_ProcedureModifier1] [nvarchar] (2) NULL,
[ServicePayment_SVC06_ProcedureModifier2] [nvarchar] (2) NULL,
[ServicePayment_SVC06_ProcedureModifier3] [nvarchar] (2) NULL,
[ServicePayment_SVC06_ProcedureModifier4] [nvarchar] (2) NULL,
[ServicePayment_SVC06_ProcedureCodeDescription] [nvarchar] (80) NULL,
[ServicePayment_SVC07_OriginalUnitsOfServiceCount] [nvarchar] (15) NULL,
[BTSMessageID] [nvarchar] (100) NULL,
[BTSInterchangeID] [nvarchar] (100) NULL
) ON [PRIMARY]


